1508030503 NPI number — MISS JEAN CLAIRE PALMOUR LMT

Table of content: MISS JEAN CLAIRE PALMOUR LMT (NPI 1508030503)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508030503 NPI number — MISS JEAN CLAIRE PALMOUR LMT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PALMOUR
Provider First Name:
JEAN
Provider Middle Name:
CLAIRE
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
LMT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508030503
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/22/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
404 SOUTH FIFTH STREET
Provider Second Line Business Mailing Address:
JJ & COMPANY SALON & SPA
Provider Business Mailing Address City Name:
EASLEY
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29640
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
864-306-3322
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
404 SOUTH FIFTH STREET
Provider Second Line Business Practice Location Address:
JJ & COMPANY SALON & SPA
Provider Business Practice Location Address City Name:
EASLEY
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29640
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
864-306-3322
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/22/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225700000X , with the licence number:  MAS5491 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)